Doctor insights on:
Moderate Profile Breast Implants

1

Yes:
While there are special techniques to try and visualize as much of the breast tissue as possible, implants do partially obstruct full evaluation of the breast. This is particularly true when the implants are placed above the pectoralis muscle; it is always best to place these behind the muscle.
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A medical device that is used to augment the size of the breast by increasing the volume of the breast mound. Implants come in a variety of shapes, sizes, and textures and are surgically inserted either under the breast tissue or in a deeper plane under the muscle. The shell of the implant is made of a flexible silicone elastomer. The inside is filled with either silicone gel or saline fluid.
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2

Depends:
For smaller volume increases, fat transfer works as well as implants. However for larger volumes, it may take several stages and is more difficult to get the same result as an implant. It also depends on the amount of breast tissue you start with, because fat transfer needs some tissue to survive. Generally speaking, it is more economical to get implants.
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4

Yes:
The presence of any implant, saline or silicone, will affect how the mammograms are performed. If the test is completed in a standard fashion there may be up to 15% of the breast tissue that still will require additional imaging.
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6

Yes but be informed:
It is very safe but there are some concerns that I have addressed in the video link below.
http://www.youtube.com/watch?v=fybsihrevec;sns=em
in fact it has been shown that women with siliconebreast implants produce milk with less silicone than formula fed infants.
There are other concerns about capsular contracture and ptosis which are discussed in the video.
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7

Of course (not day1):
Certainly you can go rafting after breast augmentation as long as you are completely healed and your surgeon has lifted restrictions. This is typically 3 months following surgery but physicians may vary in their recommendations.
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8

No but.....:
There is no direct link but there are concerns with the potential for implants to interfere with the detection of cancer. Particularly using mammograms. Special views (eklund) must be obtained. Alhtough there may be a delay in diagnosis, there has not been shown to be any effect on survival. With mri, surveillance is improved and may supplant mammography. As stated, alcl may be increased but rare.
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9

Implant Weight:
Depends of how fibrous the breast tissue in question is. In general, breast tissue is mostly fat tissue. Fat in general is less dense and will float when placed in water. Saline breast implants are mainly salt water. A gallon of fat will have an approximate weight of 7.39 lbs, a gallon of salt water will have a weight of 8.35 lbs and a gallon of silicone will have an approximate weight of 19 lb.
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10

This type:
of MRI-only(i assume) finding needs to be biopsied, but there is probably at least an 80-90% chance that it will be benign, assuming that there are no other suspicious MRI features.
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12

Yes, breast density:
is a risk factor for breast cancer. The relative risk for extremely dense breasts is about 4x the relative risk of patients with almost entirely fatty breasts, and about 1.6x the RR for "average" density breasts. Find out all you need to know at http://www.breastdensity.info/
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14

Not really:
Exercise is always a good idea and while stronger pectoral muscles (as well as a stronger core and back muscles) can help reduce the appearance of sagging there really isn't anything other than surgery to actually lift or firm the breast. Breasts are made of fatty tissue, not muscle. To actually lift saggy breasts, consult with a board certified plastic surgeon regarding mastopexy. Best wishes!
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15

Possible not probabl:
While I have removed intact implants that have been in for over 35 years, it is unlikely that at your age (29), current implants with last for your percieved life span. Therefore, while it is possible, it is more likely that you will require removal and replacement for a variety of different reasons including rupture but not limited to size change or scarring or shape change with aging.
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16

When to lift:
In cosmetic breast surgery, we evaluate the size of the breasts as they match the patient's desire, the quality and fullness of the skin envelope, and the nipple position.
Breast reduction will reduce the breast size, reshape the envelope and reposition the nipple. Breast lift will tighten the envelope and raise the nipple. Lift with augmentation is generally used to enlarge and raise the breast.
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19

Perhaps, not usually:
The density of silicone implants is very close to breast tissue as it approximates the density of water. However this is not typically the case as most breast mass is a combination of tissue/gland (more dense than silicone) and fat which is less dense than silicone.
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An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is a transplanted biomedical tissue.
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